| Pelka Endodontics, Llc | |
|
110 Regent Ct State College PA 16801-7966 | |
| (814) 234-2428 | |
| (814) 231-0118 |
| Full Name | Pelka Endodontics, Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 110 Regent Ct, State College, Pennsylvania |
| Authorized Official Name and Position | Kasia Pelka (BUSINESS MANAGER) |
| Authorized Official Contact | 9145882472 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pelka Endodontics, Llc 110 Regent Ct State College PA 16801-7966 Ph: (814) 234-2428 | Pelka Endodontics, Llc 110 Regent Ct State College PA 16801-7966 Ph: (814) 234-2428 |
| NPI Number | 1609317478 |
|---|---|
| Provider Enumeration Date | 03/13/2017 |
| Last Update Date | 03/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609317478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DS039116 (Pennsylvania) | Primary |
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